Provider Demographics
NPI:1932081692
Name:MCENTIRE, TIERRA T
Entity type:Individual
Prefix:
First Name:TIERRA
Middle Name:T
Last Name:MCENTIRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9208 ORANGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2920
Mailing Address - Country:US
Mailing Address - Phone:513-319-0578
Mailing Address - Fax:
Practice Address - Street 1:9208 ORANGEWOOD DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-2920
Practice Address - Country:US
Practice Address - Phone:513-319-0578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH600344490922372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion